Individual provider Active NPI

Nicole Gordon, M.D.

  • Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1255575965
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A145721 Issued in CA
Practice address
2531 Chester Ave
Bakersfield, CA 93301-2012
Phone
(855) 603-3456
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A145721 CA Primary

Addresses

Primary practice location

2531 Chester Ave
Bakersfield, CA 93301-2012

Mailing address

2531 Chester Ave
Bakersfield, CA 93301-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511000752 CA Practitioner - General Surgery 4486899887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oregon Health Sciences University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians

Practice addresses (Care Compare)

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

20211 W Valley Blvd
Tehachapi, CA 93561-6748
Phone (661) 822-5544

2615 Chester Ave
Bakersfield, CA 93301-2014

2701 Chester Ave
Bakersfield, CA 93301-2016

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy26
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A145721CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Ravi Patel M.D. Inc CurrentSince Oct 12, 2020 Accepting new patients
San Joaquin Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network Surgery CurrentSince Jun 1, 2023 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

6501 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 322-2206

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2700 Chester Ave
Bakersfield, CA 93301
Phone (661) 637-8720

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

20211 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 443-0088

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1255575965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012012",
            "telephone_number": "855-603-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A145721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.